In August 2020 the leader of a Managed Care Network spoke about quality and the Medicare Advantage Carve-in. The world of Hospice seems to be looking for partners, groups to speak for them. But Sachin Jain, MD, the CEO of the SCAN Health Plan, is looking for quality. From his perspective quality is king. He […]
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Andrew says, “Money doesn’t move quality. Intention moves quality.” The steps to move your CAHPs scores are simple, but it all comes down to accountability. Do you have the stomach to hold your people accountable? To move your CAHPs scores you’ll need to Intentionally redefine your care system, visits and team design Set standards around […]
Hindsight is 20/20 by Kent Brooks “I wish I knew then what I know now”, “I wonder what might have happened if…?” These are phrases that have come out of my mouth over the past six months. After a 12-year career in Hospice Administration (Exec Director/CEO/COO), where I employed many MVI tactics at NFP […]
So far, my biggest take-away from Hospice’s response to COVID-19 is the rate at which Hospice ADAPTED. I am so proud of my friends in Hospice and how quickly they learned, taught, moved and changed to meet the needs of their patients and staff. And a corollary to this: Hospices I work with are already […]
Andrew says the job of the CEO is to create the “Conditions for Success” for her staff.I was with an organization once during what Andrew calls my “professional obligation”. I told the CEO that her HR person needed to learn how to recruit in the digital age. Explosion. Face red. Outside voice in a small conference […]
Just the other day, we were in a meeting with a client, and he says, “COVID has exposed our indirects.” He went on to say that some of his indirect staff who are presently working from home are finished with their work much sooner than when they’re in the office. What does this mean? It […]
Hospice CEOs would rather hold on to poorly performing leaders than go through the pain of replacing them. We’re more afraid of our nurses than we are of bad CAHPs scores. It’s easier to play the “greed” card against for-profit Hospices than to fix our Hospice. Wouldn’t you think that “shared-services” Hospices would be more […]
Story 1: First the backstory. In 2018 a good client called us with a CYMA issue. A report is fuzzy. Don’t know why. It just is. It’s legible, but just a hair fuzzy. So the accounting team swings into action. All focus goes to this report. Phones calls and emails fire between client, MVI […]
When I help Hospice build their Model, we always talk caseloads and visit models. I always ask what the “right” number of visits is for a nurse. And, predictably, I always get 20 to 22 visits a week. Like clockwork. They say that, but do they believe that? Here’s why I wonder: We have this […]
It was an offhand comment, but quite powerful to me. We were talking about how her organization had changed in the past two and half years since we began implementing the Model. She’s the Director of Clinical Services for an organization in Southwest. When we started working closely, they were at 85 average daily census […]